Association of sensory sensitivities and toothbrushing cooperation in autism spectrum disorder

Association of sensory sensitivities and toothbrushing cooperation in autism spectrum disorder
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DOI:
10.1111/ipd.12623
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发表时间:
2020-02-16
影响因子:
3.8
通讯作者:
Smutkeeree, Apiwan
Smutkeeree, Apiwan
中科院分区:
医学3区
文献类型:
--
作者:
Khrautieo, Tippawan;Srimaneekarn, Natchalee;Smutkeeree, Apiwan

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背景感觉过度反应(SOR)是常见的自闭症谱系障碍(ASD),它会导致一个更强烈的反应,以感官stimulation.Aim刷牙合作在家里和牙科诊所之间的SOR和感觉不过度反应(SNOR)儿童ASD.Design这一横断面观察研究进行了51名儿童ASD年龄在4-17岁。护理人员通过完成一份列出八种敏感性的反向翻译问卷来评估每个受试者的感觉反应。具有三种或三种以上敏感性的受试者被认为是SOR受试者。在牙科诊所刷牙的合作被记录在视频中。统计分析采用斯皮尔曼相关系数、卡方检验、Fisher精确检验和Mann-Whitney U检验。结果SNOR受试者(n = 10)在家庭和牙科诊所刷牙合作方面的得分显著高于SOR受试者(n = 41)(P < .05)。口腔敏感性与在家刷牙的合作显著相关,而口腔、光、声和触觉(面部)敏感性与在牙科诊所刷牙的合作显著相关(P < .05)。结论SOR受试者在家中和牙科诊所的刷牙合作均低于SNOR受试者。
Background Sensory over-responsivity (SOR) is common in autistic spectrum disorder (ASD), and it leads to a more intense response to sensory stimuli.Aim To compare toothbrushing cooperation at home and in a dental office between SOR and sensory not over-responsivity (SNOR) children with ASD.Design This cross-sectional observational study was conducted with 51 children with ASD aged 4-17 years. Caregivers assessed each subject's sensory response by completing a back-translation questionnaire listing eight sensitivities. Subjects who had three or more of the sensitivities were considered SOR subjects. Toothbrushing cooperation in the dental office was recorded on videos. Statistical analysis used the Spearman correlation coefficient, chi-square test, Fisher's exact test, and Mann-Whitney U test.Results SNOR subjects (n = 10) had significantly higher scores in toothbrushing cooperation at home and in the dental office than did SOR subjects (n = 41) (P < .05). Oral sensitivity was significantly associated with toothbrushing cooperation at home, whereas oral, light, sound, and touch (face) sensitivities were significantly correlated with toothbrushing cooperation in the dental office (P < .05).Conclusions SOR subjects showed less toothbrushing cooperation than SNOR subjects both at home and in the dental office.